A. Marse Management, PLLC
Organization Active NPI Chiropractor · Fort Worth, TX
NPI 1780030171 · NPPES record last updated May 4, 2016
Key facts
- NPI
- 1780030171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11483 (TX)
- Legal business name
- A. MARSE MANAGEMENT, PLLC
- Practice address
- 2901 Acme Brick PLZ # 201
Fort Worth, TX 76109-4124 - Phone
- (817) 482-6187
- Fax
- (817) 887-1222
- NPI assigned
- May 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Andre Marse, D.C.
- Title
- Owner
- Phone
- (817) 482-6187
Practitioners 3
-
Ryan Wasilewski, DC
-
Alesha Marie Allsup, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181004000573 | TX | Part B Supplier - Clinic/Group Practice | 6709138639 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Worth, TX |
National Provider Directory
Locations
2901 Acme Brick Plz
#201
Fort Worth, TX 76109
Phone (817) 482-6187
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 11483 | TX | Yes |
Addresses
Primary practice location
2901 Acme Brick PLZ # 201
Fort Worth, TX 76109-4124
Mailing address
2901 Acme Brick PLZ # 201
Fort Worth, TX 76109-4124
Phone (817) 482-6187
Other names
- Peak Chiropractic and Rehab
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.